Nursing homes in Elma, IA
Elma has one Medicare- or Medicaid-certified nursing home. Because a single option is rarely a real choice, the table below also lists every certified facility within 20 miles. Howard County overall has 2 certified facilities (county average rating 3.5/5). Across the one rated facility here the average CMS overall rating is 2/5, against 3.07/5 across the 384 rated facilities elsewhere in Iowa.
Compare with the closest alternatives →
Local staffing, inspection dates and questions to ask →
In Elma and within 20 miles
How to read this table: "Overall" is the CMS star rating, which combines inspections, staffing, and quality measures from resident assessments and claims; "Inspection" is the on-site health inspection rating — the most independent signal, and the one CMS grades on a curve against other facilities in the same state. Flags are federal abuse citations and Special Focus status.
| Facility | Location | Overall | Inspection | Staffing | Flags | Fines (3y) | Beds |
|---|---|---|---|---|---|---|---|
| Colonial Manor of Elma | Elma | ★★☆☆☆ | 2/5 | 3/5 | abuse | $44,768 | 40 |
| Riceville Family Care and Therapy Center | Riceville, IA · 9.4 mi | ★★★★★ | 4/5 | 4/5 | — | 34 | |
| New Hampton Nursing & Rehab Center | New Hampton, IA · 14.8 mi | ★★★★☆ | 4/5 | 4/5 | — | 46 | |
| Accura Healthcare of New Hampton | New Hampton, IA · 14.8 mi | ★★★★☆ | 3/5 | 5/5 | — | 52 | |
| Chautauqua Guest Home #3 | Charles City, IA · 17.4 mi | ★★★★★ | 5/5 | 5/5 | — | 57 | |
| Chautauqua Guest Home #2 | Charles City, IA · 17.6 mi | ★★★★★ | 4/5 | 5/5 | — | 53 | |
| Faith Lutheran Home | Osage, IA · 18.4 mi | ★★★★☆ | 4/5 | 4/5 | — | 50 | |
| Osage Rehab and Health Care Center | Osage, IA · 18.7 mi | ★☆☆☆☆ | 1/5 | 2/5 | — | 46 | |
| Evans Senior Living Community | Cresco, IA · 19.3 mi | ★★★★★ | 5/5 | 5/5 | — | 43 |
What to check in Elma
These figures cover the 1 facility in this city, excluding nearby alternatives. They describe published records, not current vacancies or a recommendation.
All bars start at zero. Exact values and supporting details remain below.
Both averages use the same 1 facility, with equal weight per facility. 0 facilities are excluded because one or both values are unavailable. These are CMS case-mix-adjusted measures, not the hours any individual resident is guaranteed to receive.
Weekend staffing is lower than the all-week figure at 1 of these 1. Ask how weekend coverage and response times are maintained. This difference alone does not establish unsafe care.
- How recent is the inspection evidence? CMS marks 0 facilities here as having a most recent health inspection more than two years ago in this release. Ask for the latest inspection report and what has changed since it.
- Can the facility accept your payment arrangement? 1 of 1 facility here is listed with Medicaid certification. Certification does not establish an available bed, your eligibility or the amount you will owe. Confirm directly and request an itemized written quote.
Check the facility-level figures behind this summary
| Facility | All-week hours | Weekend hours | Latest standard health survey |
|---|---|---|---|
| Colonial Manor of Elma | 4.06 | 3.58 | Feb 19, 2026 |
Hours use the same adjusted basis as the chart. A dash means unavailable. Survey dates are the latest standard health surveys reported in this CMS file; complaint investigations may have different dates. Calculation and verification details.
Distances are straight-line from the Elma area, based on CMS-published coordinates — driving distance will be longer. Inspection quality varies a lot even within one county: check each facility's page for what inspectors actually found.